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Underground Storage Tank <br />Spill Container Testing Report Form <br />Test Type ❑ Pressure ❑ Vacuum x Hydrostatic <br />Tank ID <br />T1: 87M West <br />T1:87M East <br />T2:87 Syphon <br />T3: 91 <br />Spill Container Manufacturer: <br />OPW <br />OPW <br />OPW <br />OPW <br />xNonmetallic <br />xNonmetallic <br />xNonmetallic <br />xNonmetallic <br />Method of Cathodic Protection <br />❑Other <br />❑Other <br />❑Other <br />El Other <br />Is the spill container minimum <br />xYes <br />xYes <br />xYes <br />xYes <br />capacity five gallons excluding riser <br />❑No* <br />❑No* <br />❑No* <br />El <br />volume? <br />xDrain <br />xDrain <br />xDrain <br />xDrain <br />Method to keep spill container <br />❑Pump <br />❑Pump <br />❑Pump <br />❑Pump <br />empty <br />❑Other <br />❑Other <br />❑Other <br />❑Other <br />xPass <br />xPass <br />xPass <br />xPass <br />Spill Container Test Results <br />[Fail <br />❑Fail <br />❑Fail <br />❑Fail <br />Tank ID <br />Spill Container Manufacturer: <br />❑Nonmetallic <br />❑Nonmetallic <br />❑Nonmetallic <br />❑Nonmetallic <br />Method of Cathodic Protection <br />❑Other <br />❑Other <br />❑Other <br />❑Other <br />Is the spill container minimum <br />❑Yes <br />❑Yes <br />❑Yes <br />❑Yes <br />capacity five gallons excluding riser <br />volume? <br />❑Noy <br />❑No* <br />El No* <br />❑No* <br />❑Drain <br />❑Drain <br />❑Drain <br />❑Drain <br />Method to keep spill container <br />❑Pump <br />❑Pump <br />❑Pump <br />❑Pump <br />empty <br />❑Other <br />❑Other <br />❑Other <br />❑Other <br />❑Pass <br />❑Pass <br />11 Pass <br />❑Pass <br />Spill Container Test Results <br />❑Fail <br />❑Fail <br />❑Fail <br />❑Fail <br />8. COMMENTS <br />Describe allanswers marked "Other, ""No, " or "Fail" and each proposed remedy. <br />* Mark here if: <br />❑ Spill containers do not have a minimum capacity of five gallons and require replacement. <br />Additional copies of this page may be attached. <br />Page 2 of 2 <br />